Data Collection: Following the procedure patients will complete a set of questionnaires. Questions will inquire about attitudes, beliefs and prior use of CAM. Patients in the NSS, and Music/Photo groups will be asked whether they found the study intervention to be helpful and if so what aspects of the intervention were beneficial. They will be asked to rate their satisfaction with several aspects of the procedure including comfort, the nursing care, the physician care, and the facility. Psychological distress will be measured with the Brief Symptom Index 18 , negative mood states and anxiety will be measured with the Profile of Mood States (POMS) . The BSI provides a global symptom severity score that will be used to control for subjects' underlying psychological distress, while POMS is well suited to measuring changes in mood related to the procedure. We will specifically focus on the Tension-Anxiety, Depression-Dejection, Anger-Hostility, and Confusion-Bewilderment subscales. Differences in response to pain will be measured with the Pain Catastrophizing Scale . Salivary cortisol will be measured before and after the procedure as a neuroendocrine marker of stress. Two baseline measurements of cortisol will be taken at least 15 minutes apart prior to the procedure. Immediately following the procedure three additional salivary cortisol samples will be collected approximately 15 minutes apart. The study nurse will record heart rate, blood pressure and respiratory rate before and every 15 minutes during the procedures. The high and low systolic blood pressure, heart rate, and respiratory rate will be extracted. The study nurse will record the percentage of time the patient used the study intervention during the procedure. Patients will also be asked what percentage of the time they used the intervention.